California State Board of Optometry

Licensing details for: 4756

Name: FUENTES, EDGAR GIOVANNI

License Type: Registered Spectacle Lens Dispenser

Primary Status: Cancelled Primary Status Definition

Address of Record

2315 SYCAMORE AVENUE
LOS ANGELES CA 90016
LOS ANGELES county
Map

Issuance Date

November 8, 2002

Expiration Date

May 31, 2012

Current Date / Time

November 5, 2025
11:21:31 PM

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: LENSCRAFTERS #074

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 3585 Primary Status: Current

Address :
321 WILSHIRE BLVD
SANTA MONICA CA 90401
LOS ANGELES COUNTY